Organization Active NPI

Ky a. Miller, LLC

  • Clinical Social Worker
  • Caseyville, IL
National Provider Identifier
1972299097
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KY A. MILLER, LLC
Practice address
7 Brookewood Dr
Caseyville, IL 62232-2215
Phone
(618) 373-9029
NPI assigned
Apr 12, 2023
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ky MillerNPI 1265091342
Title
Owner/ LCSW
Phone
(618) 373-9029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7 Brookewood Dr
Caseyville, IL 62232-2215

Mailing address

7 Brookewood Dr
Caseyville, IL 62232-2215

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1972299097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BROOKEWOOD DR",
            "city": "CASEYVILLE",
            "state": "IL",
            "postal_code": "622322215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BROOKEWOOD DR",
            "city": "CASEYVILLE",
            "state": "IL",
            "postal_code": "622322215",
            "telephone_number": "618-373-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KY A. MILLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KY",
        "authorized_official_title_or_position": "OWNER/ LCSW",
        "authorized_official_telephone_number": "618-373-9029"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caseyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.